The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part three: aerobic exercise programs

被引：75

作者：

Brosseau, Lucie ^{[1
]}

Taki, Jade ^{[2
]}

Desjardins, Brigit ^{[3
]}

Thevenot, Odette ^{[3
]}

Fransen, Marlene ^{[4
]}

Wells, George A. ^{[5
]}

Imoto, Aline Mizusaki ^{[6
]}

Toupin-April, Karine ^{[7
,8
]}

Westby, Marie ^{[9
]}

Alvarez Gallardo, Inmaculada C. ^{[10
]}

Gifford, Wendy ^{[11
]}

Laferriere, Lucie ^{[12
]}

Rahman, Prinon ^{[13
]}

Loew, Laurianne ^{[14
]}

De Angelis, Gino ^{[14
]}

Cavallo, Sabrina ^{[14
]}

Shallwani, Shirin Mehdi ^{[14
]}

Aburub, Ala' ^{[14
]}

Bennell, Kim L. ^{[15
]}

Van der Esch, Martin ^{[16
,17
,18
]}

Simic, Milena ^{[19
]}

McConnell, Sara ^{[20
]}

Harmer, Alison ^{[1
]}

Kenny, Glen P. ^{[3
]}

Paterson, Gail ^{[21
]}

Regnaux, Jean-Philippe ^{[22
]}

Lefevre-Colau, Marie-Martine ^{[23
]}

McLean, Linda ^{[1
]}

机构：

[1] Univ Ottawa, Sch Rehabil Sci, Physiotherapy Program, Fac Hlth Sci, Ottawa, ON, Canada

[2] Univ Ottawa, Interdisciplinary Sch Hlth Sci, Ottawa, ON, Canada

[3] Univ Ottawa, Sch Human Kinet, Ottawa, ON, Canada

[4] Univ Sydney, Fac Hlth Sci, Sydney, NSW, Australia

[5] Univ Ottawa, Sch Epidemiol Publ Hlth & Prevent Med, Ottawa, ON, Canada

[6] UNIFESP, Internal Med, Brasilia, DF, Brazil

[7] Univ Ottawa, Childrens Hosp Eastern Ontario, Fac Med, Dept Pediat,Res Inst, Ottawa, ON, Canada

[8] Univ Ottawa, Fac Hlth Sci, Sch Rehabil Sci, 451 Smyth Rd,Room RGN3060, Ottawa, ON K1H 8M5, Canada

[9] Univ British Columbia, Mary Pack Arthrit Program, Vancouver Coastal Hlth, Dept Phys Therapy,Ctr Hip Hlth & Mobil, Vancouver, BC, Canada

[10] Univ Granada, Dept Phys Educ & Sport, Granada, Spain

[11] Univ Ottawa, Sch Nursing, Ottawa, ON, Canada

[12] Canadian Forces Hlth Serv Grp Headquarters, Natl Def, Ottawa, ON, Canada

[13] Dalhousie Univ, Dept Community Hlth & Epidemiol, Halifax, NS, Canada

[14] Univ Ottawa, Sch Rehabil Sci, Ottawa, ON, Canada

[15] Univ Melbourne, Sch Hlth Sci, Dept Physiotherapy, Melbourne, Vic, Australia

[16] Reade Ctr Rehabil & Rheumatol, Dept Rehabil, Amsterdam, Netherlands

[17] Univ Appl Sci, Fac Hlth, ACHIEVE, Ctr Appl Res, Amsterdam, Netherlands

[18] Univ Appl Sci, Sch Physiotherapy, Amsterdam, Netherlands

[19] Univ Sydney, Discipline Physiotherapy, Fac Hlth Sci, Lidcombe, Australia

[20] St Josephs Hlth Care Ctr, Dept Med, Toronto, ON, Canada

[21] Arthrit Soc, Ottawa Off, Ontario Div, Ottawa, ON, Canada

[22] Hop Hotel Dieu, Ctr Rech Epidemiol & Biostat, Paris, France

[23] Cochin Hosp, Dept Med & Rehabil, Inst Rheumatol, Paris, France

来源：

CLINICAL REHABILITATION | 2017年 / 31卷 / 05期

关键词：

Therapeutic exercise; aerobic exercises; knee osteoarthritis; clinical practice guideline; systematic review; OLDER-ADULTS; PHYSICAL-THERAPY; ARTHRITIS; HIP; RECOMMENDATIONS; INTENSITY; WALKING; OBESE;

D O I：

10.1177/0269215517691085

中图分类号：

R49 [康复医学];

学科分类号：

100232 [康复医学];

摘要：

Objectives: To identify effective aerobic exercise programs and provide clinicians and patients with updated, high-quality recommendations concerning traditional land-based exercises for knee osteoarthritis. Methods: A systematic search and adapted selection criteria included comparative controlled trials with strengthening exercise programs for patients with knee osteoarthritis. A panel of experts reached consensus on the recommendations using a Delphi survey. A hierarchical alphabetical grading system (A, B, C+, C, D, D+, or D-) was used, based on statistical significance (P < 0.5) and clinical importance (15% improvement). Results: The five high-quality studies included demonstrated that various aerobic training exercises are generally effective for improving knee osteoarthritis within a 12-week period. An aerobic exercise program demonstrated significant improvement for pain relief (Grade B), physical function (Grade B) and quality of life (Grade C+). Aerobic exercise in combination with strengthening exercises showed significant improvement for pain relief (3 Grade A) and physical function (2 Grade A, 2 Grade B). Conclusion: A short-term aerobic exercise program with/without muscle strengthening exercises is promising for reducing pain, improving physical function and quality of life for individuals with knee osteoarthritis.

引用

页码：612 / 624

页数：13

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The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part one: introduction, and mind-body exercise programs [J].

Brosseau, Lucie ;

Taki, Jade ;

Desjardins, Brigit ;

Thevenot, Odette ;

Fransen, Marlene ;

Wells, George A. ;

Imoto, Aline Mizusaki ;

Toupin-April, Karine ;

Westby, Marie ;

Alvarez Gallardo, Inmaculada C. ;

Gifford, Wendy ;

Laferriere, Lucie ;

Rahman, Prinon ;

Loew, Laurianne ;

De Angelis, Gino ;

Cavallo, Sabrina ;

Shallwani, Shirin Mehdi ;

Aburub, Ala' ;

Bennell, Kim L. ;

Van der Esch, Martin ;

Simic, Milena ;

McConnell, Sara ;

Harmer, Alison ;

Kenny, Glen P. ;

Paterson, Gail ;

Regnaux, Jean-Philippe ;

Lefevre-Colau, Marie-Martine ;

McLean, Linda .

CLINICAL REHABILITATION, 2017, 31 (05) :582-595

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